在患有先天性心脏病的儿童中,COVID-19期间减少体力活动:纵向分析
Mimi T Y Kuan1, Nicole M Hemphill1, Kevin C Harris1
1Division of Cardiology, Department of Pediatrics, British Columbia Children's Hospital, Vancouver, British Columbia, Canada.
CJC pediatric and congenital heart disease
|November 16, 2023
概括
随着COVID-19大流行,先天性心脏病 (CHD) 的儿童的身体活动显著减少,他们的心血管风险恶化. 有针对性的干预措施对于在正在进行的流行病期间改善他们的健康结果至关重要.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 公共卫生 公共卫生
- 运动科学 运动科学
背景情况:
- 患有先天性心脏病 (CHD) 的儿童面临心血管风险升高.
- 冠状病毒 (COVID-19) 流行病与儿童体力活动减少有关.
- 优化心血管健康行为对于这个脆弱人群至关重要.
研究的目的:
- 评估COVID-19大流行对患有心脏病的儿童纵向体力活动的影响.
- 了解每日步数和季节性活动模式的变化.
主要方法:
- 一项前性队列研究,涉及102-114名患有中度至复杂心血管疾病的儿童和青少年 (9-16岁).
- 使用Fitbit Charge 2进行连续3年 (2018-2021) 的每日步数监控.
- 家长/自我报告调查评估了大流行期间学校的状态.
主要成果:
- 与2018年 (9416步) 和2019年 (9533步) 相比,在2020年 (8225步) 观察到年平均步数显著减少 (P < 0.001).
- 身体活动水平显著下降,季节性变化明显减少.
- 即使在2020年9月孩子们回到亲自上学之后,活动减少仍然存在.
结论:
- 由于COVID-19的流行,儿童体力活动显著下降,并丧失了儿童心脏病的季节性模式.
- 这些发现表明,患有心血管疾病的儿童心血管风险概况增加.
- 迫切需要采取缓解策略,以改善这一群体在疫情期间的心血管健康.
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